EPILEPSY IN 11 PATIENTS WITH TYPICAL RETT SYNDROME CAUSED BY MECP2 MUTATION: CLINICAL AND ELECTROENCEPHALOGRAPHIC CHARACTERISTICS, COURSE, THERAPY (RESULTS OF THE AUTHORS’ OBSERVATIONS)
https://doi.org/10.17650/2073-8803-2016-11-1-23-28
Abstract
Examinations were made in 11 female patients aged 3 to 23 years with Rett syndrome and typical mutation in the MECP2 gene, who had been followed up from 2006 to 2015. The investigators evaluated neurological and psychic status (systematically) and performed continuous video electroencephalographic (EEG) monitoring (if clinically indicated), magnetic resonance imaging, and molecular cytogenetic examination. Epilepsy was diagnosed in 6 (54.5 %) patients: symptomatic focal epilepsy in 5 cases and symptomatic generalized epilepsy in 1. The mean age at epilepsy onset was 3 years and 9 months. Generalized epileptic seizures were noted in 60 % of cases and focal ones in 40 %. EEG changes were revealed in 9 patients, 5 with slowing of background activity, 2 with regional epileptiform activity, and 1 with diffuse epileptiform activity that corresponded to that of the benign epileptiform patterns of childhood. Five patients were recorded to have multiregional epileptiform activity.
About the Authors
M. Yu. Bobylova
Svt. Luka’s Institute of Child Neurology and Epilepsy
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
K. Yu. Mukhin
Svt. Luka’s Institute of Child Neurology and Epilepsy
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
I. V. Ivanova
Svt. Luka’s Institute of Child Neurology and Epilepsy;
Russian Children’s Clinical Hospital, Ministry of Health of Russia
Russian Federation
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396;
117 Leninskiy Prospekt, Moscow, 117997
I. V. Nekrasova
Russian Children’s Clinical Hospital, Ministry of Health of Russia
Russian Federation
117 Leninskiy Prospekt, Moscow, 117997
Russian Federation
117 Leninskiy Prospekt, Moscow, 117997
O. A. Pylaeva
Svt. Luka’s Institute of Child Neurology and Epilepsy
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
N. Yu. Borovikova
Svt. Luka’s Institute of Child Neurology and Epilepsy
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
Russian Federation
6 Svetlaya St., Puchkovo Village, Pervomayskoe Settlement, Moscow, 143396
E. S. Il’ina
Russian Children’s Clinical Hospital, Ministry of Health of Russia
Russian Federation
117 Leninskiy Prospekt, Moscow, 117997
Russian Federation
117 Leninskiy Prospekt, Moscow, 117997
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Review
For citations:
Bobylova M.Yu., Mukhin K.Yu., Ivanova I.V., Nekrasova I.V., Pylaeva O.A., Borovikova N.Yu., Il’ina E.S. EPILEPSY IN 11 PATIENTS WITH TYPICAL RETT SYNDROME CAUSED BY MECP2 MUTATION: CLINICAL AND ELECTROENCEPHALOGRAPHIC CHARACTERISTICS, COURSE, THERAPY (RESULTS OF THE AUTHORS’ OBSERVATIONS). Russian Journal of Child Neurology. 2016;11(1):23-28. (In Russ.) https://doi.org/10.17650/2073-8803-2016-11-1-23-28
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